{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T07:53:26Z","timestamp":1753862006869,"version":"3.41.2"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"content-version":"vor","delay-in-days":39,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Complicated empyema accompanied by bronchopleural fistula (BPF) has high mortality. The treatment strategy for severe respiratory failure due to empyema with BPF has yet to be established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 70\u2010year\u2010old man was brought to our hospital and diagnosed with right empyema, BPF (at bronchi B4\u201310), and secondary left pneumonia. We initiated drainage followed by veno\u2010venous extracorporeal membrane oxygenation due to the severe hypoxia. First, the patient underwent endoscopic treatment with obstructive materials (known as endobronchial Watanabe spigot [EWS]) at B8\u201310, and was weaned off veno\u2010venous extracorporeal membrane oxygenation on day 7. A secondary EWS was carried out at B4\u20136. A combination of medical treatments (drainage, antibiotics, nutritional therapy, and rehabilitation) improved his general condition. The patient was able to leave the hospital on foot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A comprehensive approach could explain the success of the medical treatment. The principal components are the repeated application of EWS as damage control.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.621","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T20:02:31Z","timestamp":1612987351000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Empyema with fistula successfully treated with a comprehensive approach including bronchial blocker and embolization receiving veno\u2010venous extracorporeal membrane oxygenation"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1517-9659","authenticated-orcid":false,"given":"Kijong","family":"Shin","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3581-0890","authenticated-orcid":false,"given":"Toru","family":"Hifumi","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Tsugitomi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Medical Oncology The Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shutaro","family":"Isokawa","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7122-5555","authenticated-orcid":false,"given":"Norio","family":"Otani","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Ishimatsu","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e3283606ab5"},{"key":"e_1_2_5_3_1","first-page":"1","article-title":"Bronchopleural fistula: causes, diagnoses and management","author":"Bat\u0131han G","year":"2020","journal-title":"Dis. Pleura."},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv272"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2007.159319"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.3918\/jsicm.25_155"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2018.05.008"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2015.07.006"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.cr.11.01760"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00021008"},{"key":"e_1_2_5_11_1","first-page":"3","article-title":"Case report successful treatment of bronchial fistula after pulmonary lobectomy by endobronchial embolization using an endobronchial Watanabe spigot","volume":"2015","author":"Machida Y","year":"2015","journal-title":"Case Rep. Pulmonol."}],"container-title":["Acute Medicine &amp; Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.621","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ams2.621","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.621","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T11:44:19Z","timestamp":1692618259000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.621"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1002\/ams2.621"],"URL":"https:\/\/doi.org\/10.1002\/ams2.621","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"type":"print","value":"2052-8817"},{"type":"electronic","value":"2052-8817"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"2020-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e621"}}